[Endonasal dacryocystorhinostomy: technique and results].

M McMasters, J Messerli, M Wolfensberger
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引用次数: 0

Abstract

Background: Endonasal dacryocystorhinostomy has recently become an important alternative to the classical external Toti procedure.

Objective: To analyse the outcome after endonasal dacryocystorhinostomy.

Methods: For this purpose 28 of 34 patients treated by endonasal dacryocystorhinostomy between May 1994 and November 1998 were investigated.

Results: After an average follow-up of 28 months, 23 of the 28 patients (82%) are free of symptoms. Two additional patients became symptom-free after revision surgery. The total success rate is 89%. The only complications seen were 2 cases of asymptomatic synechiae and one case of mild hyposmia.

Conclusions: Endonasal dacryocystorhinostomy is a rapid, safe, and elegant method for the treatment of post-saccal nasolacrimal duct obstructions.

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鼻内泪囊鼻腔造瘘术:技术与结果
背景:鼻内泪囊鼻腔造口术近年来已成为经典外托蒂手术的重要替代方法。目的:分析鼻内泪囊鼻腔吻合术的疗效。方法:对1994年5月至1998年11月行鼻内泪囊鼻腔造瘘术的34例患者中的28例进行回顾性分析。结果:平均随访28个月后,28例患者中23例(82%)症状消失。另外两名患者在翻修手术后症状消失。总成功率为89%。唯一的并发症是2例无症状粘连和1例轻度低体温。结论:鼻内泪囊鼻腔造瘘术是一种快速、安全、简便的治疗囊后鼻泪管阻塞的方法。
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